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William Mac Vanderpool Jr
Customized Equipment (DME) in Winter Haven, Florida
NPI 1194723049

William Mac Vanderpool Jr is a Customized Equipment (DME) based in Auburndale, FL and is specialized in Customized Equipment. William Mac Vanderpool Jr practices in Winter Haven, FL. The NPI Number for William Mac Vanderpool Jr is 1194723049 and holds a License No. 1312052 (Florida).

The current practice location address for William Mac Vanderpool Jr is 2860 Lake Alfred Rd, Winter Haven, FL and can be reached out via phone at 863-595-1440.

Location: 2860 Lake Alfred Rd, Winter Haven, FL, 33823-0950
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194723049
Provider Name
William Mac Vanderpool Jr
Credential
Provider Entity Type
Organization
Address
2860 Lake Alfred Rd, Winter Haven, FL, 33823-0950
Phone Number
863-595-1440
Fax Number
Provider Enumeration Date
07/13/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
026780500 05 FL
R9561 01 FL BCBS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
2860 Lake Alfred Rd
City
Winter Haven
State
Florida
Zip
33881-1435
Phone Number
863-595-1440
Fax Number
person
Provider Business Mailing Address Details
Address
2860 Lake Alfred Rd
City
Winter Haven
State
Florida
Zip
33881-1435
Phone Number
863-595-1440
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
1312052 (Florida)
Definition
Definition to come...
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